Search results for "Delirium"
Guidelines on diagnosing complicated intra-abdominal infections updated
The Infectious Diseases Society of America offered recommendations on initial imaging and cultures for suspected appendicitis, cholecystitis, cholangitis, diverticulitis, and intra-abdominal abscesses.
https://acphospitalist.acponline.org/archives/2024/07/17/guidelines-on-diagnosing-complicated-intra-abdominal-infections-updated.htm
17 Jul 2024
Using an app to direct inpatient delirium identification was both feasible and accurate
A two-step, app-directed protocol for clinicians to identify delirium had high overall accuracy, with certified nursing assistants and nurses performing as well as hospitalists in a prospective cohort study at two hospitals.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/2.htm
10 Nov 2021
Melatonin does not improve delirium in older inpatients
No significant differences in Memorial Delirium Assessment Scale scores were seen between patients randomized to 5 mg of melatonin nightly or placebo, a small trial found.
https://acphospitalist.acponline.org/archives/2024/03/13/melatonin-does-not-improve-delirium-in-older-inpatients.htm
13 Mar 2024
Opioid exposure linked to increased risk of delirium in critically ill adults
A Dutch study found that opioid use in the ICU increased the daily risk of delirium by 45% in a dose-dependent manner and that this increased risk was independent of the degree of pain present.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/5.htm
21 Apr 2021
Delirium in the hospital may have a dose-response association with dementia
Hospitalized patients with delirium had three times the risk for incident dementia over 5.25 years of follow-up versus those without, and each additional delirium episode was associated with a 20% increase in dementia risk, an Australian study found.
https://acphospitalist.acponline.org/archives/2024/04/03/delirium-in-the-hospital-may-have-a-dose-response-association-with-dementia.htm
3 Apr 2024
Care pathway with nurse screening for delirium may have reduced length of stay, 30-day readmissions
An academic tertiary care hospital in Northern California found that adjusted mean hospital length of stay decreased by 2% and the adjusted odds of 30-day readmission decreased by 14% after implementation of a delirium screening and care pathway for inpatients ages 50 years and older.
https://acphospitalist.acponline.org/weekly/archives/2021/06/16/3.htm
16 Jun 2021
Antipsychotic medications not effective in ICU patients with delirium
A systematic review and meta-analysis found no improvements in delirium- or coma-free days, mortality, duration of mechanical ventilation, or ICU or hospital length of stay in critically ill patients with delirium who received antipsychotics versus those who did not.
https://acphospitalist.acponline.org/archives/2024/03/27/antipsychotic-medications-not-effective-in-icu-patients-with-delirium.htm
27 Mar 2024
Latest inpatient COVID-19 research looks at plasma, intubation, delirium, VTE, and more
Recent studies showed that convalescent plasma didn't improve outcomes, a protocol reduced intubation rates, delirium was a common presentation among elderly patients, venous thromboembolism (VTE) was more common in the ICU, and racial disparities persisted after adjustment.
https://acphospitalist.acponline.org/weekly/archives/2020/11/25/2.htm
25 Nov 2020
Program with family reduced postoperative delirium, functional decline in older patients
The success of a tailored, family-involved program that targeted delirium risk factors in Chinese patients after noncardiac surgery shows that U.S. hospitals could learn from cultures that more closely involve families in care, according to an editorial accompanying the study.
https://acphospitalist.acponline.org/weekly/archives/2019/10/30/2.htm
30 Oct 2019
April 3, 2024
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2024/04/03/